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Massachusetts rates for HCPCS J1620

Injection Gonadorelin Hydrochloride Per 100 Mcg (Special Coverage Instructions Apply. See Mcm: 2049)

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$180.72 / $180.72 / $425.22
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$180.72 / $180.72 / $180.72
AllWays Health Partners
Facility/Professional
Facility
Modifier
Low / Median / High Price
$212.61 / $212.61 / $212.61
AllWays Health Partners
Facility/Professional
Professional
Modifier
Low / Median / High Price
$180.30 / $180.30 / $270.45
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$193.46 / $230.06 / $490.42
Fallon Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$83.43 / $4,618.00 / $9,239.00
Mass General Brigham
Facility/Professional
Facility
Modifier
Low / Median / High Price
$212.61 / $212.61 / $212.61
Mass General Brigham
Facility/Professional
Professional
Modifier
Low / Median / High Price
$180.30 / $180.30 / $270.45
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$180.30 / $180.30 / $252.43